South Carolina
F O R O F F I C I A L U S E O N L Y
DEPARTMENT OF AGRICULTURE
Receipt #
CONSUMER PROTECTION DIVISION
FOOD & FEED SAFETY DEPARTMENT
Check Name
123 Ballard Court, West Columbia, SC 29172
Check #
Check Amount
Hugh E. Weathers, Commissioner
Fund #
SOUTH CAROLINA FEED REGISTRATION APPLICATION
The South Carolina Department of Agriculture is authorized to require the annual
1. List the complete brand name as shown
on the tag or label of each feed for
registration of animal food labels by manufacturers and to charge a fee of $15.00
which registration is requested.
for such registrations under provision of South Carolina Law.
Feed registrations expire each year on September 30.
2. Enter the protein, fat, and fiber
guarantees if applicable.
3. List “firm” name and address to be the
Manufacturer or Registrant
same as that appearing on the label.
4. Attach labels for each product
(8.5x11” or 11x17”) or electronically in
Mailing Address
PDF format.
5. A certificate of all products registered
will be mailed or emailed to you.
City, State, ZIP
Phone
Enclosed Registrations @ $15.00 each
Email Address
Would you like to receive your renewal notice by email?
 Yes
 No
Please return this form to:
South Carolina Department of Agriculture
I hereby request registration of these feed products and I certify that the
Attn: Feed Registration
information furnished by me is true and correct. I understand that by signing my
123 Ballard Court
application and making remittance that I have read and understand the laws, rules,
West Columbia, SC 29172
and regulations regarding feed products offered for sale in the State of South
Carolina and agree to comply with the same.
You may obtain additional forms at:
agriculture.sc.gov, click on the Forms link
Signature
Print Name
For additional assistance, please contact:
803-737-9713
Date
Feed Products submitted for registration. Please use additional sheets as necessary.
C O M P L E T E B R A N D N A M E O F F E E D
1
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1
7/12/18
CPD Form #535
South Carolina
F O R O F F I C I A L U S E O N L Y
DEPARTMENT OF AGRICULTURE
Receipt #
CONSUMER PROTECTION DIVISION
FOOD & FEED SAFETY DEPARTMENT
Check Name
123 Ballard Court, West Columbia, SC 29172
Check #
Check Amount
Hugh E. Weathers, Commissioner
Fund #
SOUTH CAROLINA FEED REGISTRATION APPLICATION
The South Carolina Department of Agriculture is authorized to require the annual
1. List the complete brand name as shown
on the tag or label of each feed for
registration of animal food labels by manufacturers and to charge a fee of $15.00
which registration is requested.
for such registrations under provision of South Carolina Law.
Feed registrations expire each year on September 30.
2. Enter the protein, fat, and fiber
guarantees if applicable.
3. List “firm” name and address to be the
Manufacturer or Registrant
same as that appearing on the label.
4. Attach labels for each product
(8.5x11” or 11x17”) or electronically in
Mailing Address
PDF format.
5. A certificate of all products registered
will be mailed or emailed to you.
City, State, ZIP
Phone
Enclosed Registrations @ $15.00 each
Email Address
Would you like to receive your renewal notice by email?
 Yes
 No
Please return this form to:
South Carolina Department of Agriculture
I hereby request registration of these feed products and I certify that the
Attn: Feed Registration
information furnished by me is true and correct. I understand that by signing my
123 Ballard Court
application and making remittance that I have read and understand the laws, rules,
West Columbia, SC 29172
and regulations regarding feed products offered for sale in the State of South
Carolina and agree to comply with the same.
You may obtain additional forms at:
agriculture.sc.gov, click on the Forms link
Signature
Print Name
For additional assistance, please contact:
803-737-9713
Date
Feed Products submitted for registration. Please use additional sheets as necessary.
C O M P L E T E B R A N D N A M E O F F E E D
1
2
3
4
1
7/12/18
CPD Form #535
C O M P L E T E B R A N D N A M E O F F E E D
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7/12/18
CPD Form #535
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